Ngaba ngamanye amaxesha uphuma ulwelo olunuka kakubi endlebeni yakho? Okanye udla ngokuva iqhuma okanye uxinzelelo ngaphakathi endlebeni yakho? Nangona abantu abaninzi becinga ukuba oku kubuhlungu nje okanye usulelo, ngamanye amaxesha kunokuba yinto enzulu ngakumbi. Namhlanje siza kuthetha ngenye yeemeko ezinjalo. Ibizwa ngokuba yiCholesteatoma. Nangona igama lisenokuvakala lingaqhelekanga, kubalulekile ukwazi ngalo.
Ngamafutshane, yintoni iCholesteatoma?
I-Cholesteatoma kukukhula okungaqhelekanga okuvela emva kwe-eardrum yakho (i-tympanic membrane), kwindlebe ephakathi. Nangona eneneni lithumba, alingomhlaza. Ngoko ke ungakhathazeki ngalo. Lenziwa yingqokelela yeeseli zesikhumba ezifileyo. Lifana nendlela iiseli zethu zesikhumba ezifileyo eziqokelelana ngayo kwaye zenze iqhuma elincinci ngaphakathi kwendlebe. Ekuhambeni kwexesha, eli qhuma leeseli likhula kancinci kancinci. Ngamanye amaxesha libonakala njengeperile, ngoko abanye abantu balibiza ngokuba "yi-perile tumor."
Le meko inokwenzeka ngeendlela ezimbini eziphambili:
- I-cholesteatoma yokuzalwa: Abanye abantwana banokuba nalo mzimba ngaphakathi endlebeni yabo xa bezalwa. Oku kunqabile.
- I-cholesteatoma efunyenweyo: Olu lolona hlobo luxhaphakileyo. Iyenzeka ngokuhamba kwexesha ngenxa yezinye iingxaki endlebeni.
Into ebalulekileyo kukuba nangona oku kungengomhlaza, ukuba akunyangwa, eli thumba linokukhula kwaye lonakalise amathambo athambileyo, imithambo-luvo, kwanobuchopho obungaphakathi kwendlebe. Kungoko ke, kubaluleke kakhulu ukuqaphela oku kwaye ufune iingcebiso zonyango ngokukhawuleza ukuba kuvela iimpawu.
Ziziphi iimpawu ezibonakala xa le meko isenzeka?
Iimpawu ze-cholesteatoma zinokwahluka kancinci ngokuxhomekeke ekubeni ikhona na ekuzalweni okanye ikhula kamva. Ukuba umntwana omncinci uzalwa nayo, kusenokungabikho zimpawu de ithumba libe likhulu. Ugqirha womntwana usenokuyibona okokuqala ngexesha lokuhlolwa rhoqo.
Nangona kunjalo, ngokubanzi, ezi mpawu zilandelayo zinokubonakala kule meko.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukukhupha amanzi endlebeni | Ukuphuma rhoqo kolwelo olunuka kakubi, olumthubi okanye oluluhlaza olufana nobovu oluvela endlebeni lolona phawu luqhelekileyo. |
| Uxinzelelo lwendlebe okanye ukugcwala | Ukuziva unzima rhoqo, uxinzelelo, okanye into ezalisa indlebe. Kufana nokuba namanzi endlebeni yakho. |
| Ukulahlekelwa kukuva | Ukulahlekelwa kukuva kwindlebe echaphazelekayo kuncipha kancinci kancinci. Oku kusenokungabonakali ekuqaleni, kodwa kunokwanda ngokuhamba kwexesha. |
| Isiyezi | Ukulinganisela kuyachaphazeleka kwaye kuvakala ngathi sisiyezi. |
| Usulelo lwendlebe oluqhelekileyo | Usulelo oluqhubekayo kwindlebe enye. Iintlungu zendlebe ezingaphenduliyo kunyango oluqhelekileyo. |
| I-tinnitus | Ukuva isandi okanye enye ingxolo engaqhelekanga ezindlebeni. |
Kutheni le nto i-cholesteatoma yenzeka? Zithini izizathu eziphambili?
Eyona sizathu siphambili soku kukuba i-eardrum itsalelwa ngaphakathi, ebizwa ngokuba yi-`(Retracted eardrum)`. Ngoku makhe sibone ukuba oko kwenzeka njani.
Khawucinge nje, kukho ityhubhu encinci edibanisa iindlebe zethu nomqala. Le yityhubhu ye-Eustachian . Umsebenzi wayo ophambili kukulinganisa nokulinganisela uxinzelelo lomoya phakathi kwendlebe ephakathi nendawo engaphandle. Xa sizamla okanye siginya, siva isandi "esincinci" ezindlebeni zethu kwaye siziva ngathi ziyavuleka kuba le tyhubhu iyasebenza.
Ngoku khawucinge ukuba unengxaki yomkhuhlane, i-allergy, okanye i-sinus. Kwenzeka ntoni kukuba ityhubhu ye-Eustachian iyadumba ize ivaleke. Kwenzeka ntoni emva koko? Umoya uyayeka ukungena endlebeni ephakathi, kwaye umoya olapho utsalwa emzimbeni. Ngenxa yoko , uxinzelelo olungaphakathi endlebeni ephakathi luyehla, nto leyo edala i-vacuum.
Ngenxa yolu xinzelelo lwe-vacuum, i-eardrum, engakwaziyo ukumelana noxinzelelo lomoya wangaphandle, itsalelwa ngaphakathi kwindawo yayo ebuthathaka. Kanye njengokuba umoya omncinci unyanzelwa kwibhotile yeplastiki engenanto xa ucinezelwa.
Xa i-eardrum itsalwa ngale ndlela, kwakheka ipokotho encinci apho. Iiseli zolusu ezifileyo ezingaphandle kwe-eardrum zihlala ziwela phantsi zize ziphume zodwa. Kodwa xa le pokotho isenzeka, ezo seli zifileyo azikwazi ukuphuma zize ziqale ukuqokelelana ngaphakathi kuyo. Ekuhambeni kwexesha, ezi seli ziyaqokelelana kwaye zenze ithumba elibizwa ngokuba yi-cholesteatoma.
Ukongeza kwesi sizathu siphambili,
- Ngenxa yosulelo lwendlebe oluxhaphakileyo (i-Chronic otitis media) .
- Ngenxa yengozi efana nokuqhekeka kwendlebe .
- Kunqabile kakhulu ukuba le meko ivele xa umntwana ezalwa .
Uyifumana njani le nto, Gqirha?
Ukuba uneempawu ezichazwe apha ngasentla, kufuneka uqale ubonane nogqirha wosapho lwakho. Uza kukubuza ngeempawu zakho nokuba ukhe waneengxaki zeendlebe ngaphambili.
Emva koko, ugqirha usebenzisa isixhobo esincinci esibizwa ngokuba yi-otoscope ukuphonononga indlebe yakho. Angajonga ngaphakathi endlebeni aze abone ukuba kukho ukuqokelelana kweeseli zesikhumba ezifileyo emva kwe-eardrum okanye ukuba kukho ukudumba kwi-eardrum.
Ukuba kurhanelwa ukuba une-cholesteatoma, ugqirha wakho uza kukuthumela kwingcali yendlebe, impumlo, nomqala (otolaryngologist okanye ingcali ye-ENT) . Ingcali ingenza uvavanyo olongezelelweyo ukuqinisekisa imeko kunye nokufumanisa ubungakanani bomonakalo.
- I-CT scan (i-Computed Tomography scan): Oku kungabona ngokucacileyo ukuba inkulu kangakanani ithumba, nokuba amathambo athambileyo abizwa ngokuba zii-ossicles ezingaphakathi kwendlebe wonakele, okanye nokuba asasazeke engqondweni.
- Uvavanyo lokuva: Uvavanyo lokuva olwahlukeneyo lwenziwa ukuze kulinganiswe ukuba ukuva kwakho kuchaphazeleke kangakanani. I-Tympanometry luvavanyo olukhethekileyo olunokunceda ekuxilongeni le meko.
Zithini iindlela zonyango zoku?
Lo ngumbuzo obuzwa ngabantu abaninzi. Ngaba oku akunakunyangwa ngokuthatha amayeza?
Unyango oluphumelelayo kuphela lwe-cholesteatoma kukuyisusa ngokupheleleyo ngotyando.
Amayeza, ingakumbi amayeza okubulala iintsholongwane kunye namathontsi endlebe, anokunikwa, kodwa anikwa kuphela ukulawula usulelo olubangelwa yi-cyst. Oko kukuthi, ukunciphisa okwethutyana ubomvu kunye nentlungu evela endlebeni. Kodwa amayeza awasayi kuze ayenze i-cyst iphele.
Kukho iinjongo ezimbini eziphambili zotyando:
1. Ukususa ngokupheleleyo ithumba le-cholesteatoma kunye nokuthintela ukusasazeka kosulelo.
2. Ukuzama ukulungisa umonakalo endlebeni kangangoko kunokwenzeka nokubuyisela ukuva.
Utyando olwenziwa ngenxa yale njongo lubizwa ngokuba yi-"Mastoidectomy" kunye ne-"Tympanoplasty." Ingcali iya kugqiba ukuba loluphi utyando olufanelekileyo kuwe ngokwemeko yakho.
Kuza kwenzeka ntoni emva kotyando? Kwaye yintoni ekufuneka uyilumkele?
Uninzi lwabantu lufumana iimpawu ezipheleleyo emva kotyando. Nangona kunjalo, kukho umngcipheko wokuphinda kubekho i-cholesteatoma. Ke ngoko, kubalulekile ukuqhubeka nokulandela ugqirha wakho emva kotyando.
Ingcali yakho iya kukuxelela ukuba ubuye ngamaxesha athile . Ngexesha lokuhlolwa:
- Ndijonga indlebe yam kwakhona.
- Ukuva kuyajongwa.
- Ngamanye amaxesha, kwenziwa ukucoca indlebe. Oku kuquka ukususa ngononophelo naziphi na iiseli zolusu olufileyo kunye nezinye izicwili ezinokuba ziqokelelene.
| Ukuba unale mpawu emva kotyando, fowunela ugqirha wakho ngoko nangoko. | |
|---|---|
| 🚨 | Ukukhupha ulwelo oluninzi, olufana negazi okanye ubomvu, endlebeni. |
| 🚨 | Intlungu ebuhlungu yendlebe. |
| 🚨 | Ukuba nomkhuhlane ongaphezulu kwama-38 degrees Celsius (100.4 Fahrenheit). |
| 🚨 | Ukuba iimpawu zangaphambili (ivumba elibi, ukukhupha amanzi) ziyavela kwakhona. |
Ngaba i-cholesteatoma ingathintelwa?
Akukho ndlela yokuthintela uhlobo olukhoyo ekuzalweni. Kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko wokufumana uhlobo oluqhelekileyo noluqala kamva.
- Ukunyanga izifo zendlebe ngokukhawuleza nangendlela eyiyo:Ukuba wena okanye umntwana wakho nifumana izifo zendlebe rhoqo, kubalulekile ukufuna uncedo lwezonyango ukuze kuchongwe unobangela kwaye kunyangwe ngendlela efanelekileyo. Kubalulekile nokunyanga iimeko eziphazamisa ukusebenza kwe-Eustachian tube, ezifana nomkhuhlane kunye ne-allergies.
- Ukukhusela Iindlebe: Kubalulekile ukukhusela iindlebe kwizinto nakwiingozi ezinokukrazula i-eardrum.
Umyalezo Wokuya Ekhaya
- I-Cholesteatoma lihlumela elingelona umhlaza elivela kwingqokelela yeeseli zesikhumba ezifileyo emva kwe-eardrum.
- Iimpawu eziphambili kukuphuma kolwelo olunuka kakubi endlebeni, uxinzelelo endlebeni, kunye nokulahlekelwa kukuva.
- Isizathu esiphambili soku kukuba i-eardrum itsalelwa ngaphakathi ngenxa yokusebenza okungasebenzi kakuhle kwetyhubhu ye-Eustachian.
- Eyona ndlela yokunyanga oku kukususa ngotyando. Akunakuphiliswa ngamayeza.
- Ukuba wena okanye umntwana wakho unezinye zezi mpawu, musani ukuzityeshela kwaye nidibane nogqirha ngokukhawuleza. Unyango olukhawulezileyo lunokuthintela iingxaki ezinkulu.
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